| NPI | 1285113001 |
|---|---|
| Former Legal Business Name | DR. JENNA PETERSON, INC. |
| Entity Type | Organization |
| Authorized Contact | JENNA WEINTROB Licensed Clinical Psychologist 773-987-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009758) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-06-11 |